Individual
MS. NANCY PALCHANIS FUNDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 VESPER LN UNIT L1, NANTUCKET BEHAVIORAL HEALTH SERVICES, NANTUCKET, MA 02554-4394
(508) 228-2689
(508) 228-3613
Mailing address
20 VESPER LN UNIT L1, NANTUCKET BEHAVIORAL HEALTH SERVICES, NANTUCKET, MA 02554-4394
(508) 228-2689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215268
MA
1041C0700X
Clinical Social Worker
215268
MA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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